Individual
KIM LIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5737 DIAMOND VALLEY DR, FORT WORTH, TX 76179-7606
(316) 573-3616
Mailing address
5737 DIAMOND VALLEY DR, FORT WORTH, TX 76179-7606
Taxonomy
Speciality
Code
Description
License number
State
1835C0207X
Compounded Sterile Preparations Pharmacist
Primary
60157
TX
Other
Enumeration date
04/11/2026
Last updated
04/11/2026
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